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Minnesota rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $226.24 / $2,042.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$16.66 / $113.12 / $113.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $196.31 / $380.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.73 / $429.98 / $878.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $264.18 / $769.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.93 / $813.41 / $1,956.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.68 / $241.03 / $946.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.27 / $717.16 / $1,540.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $241.03 / $823.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.56 / $226.24 / $663.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.06 / $576.38 / $1,659.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,445.00 / $3,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $484.18 / $872.54